Provider First Line Business Practice Location Address:
DOROTHEA DIX HOSPITAL
Provider Second Line Business Practice Location Address:
820 S. BOYLAN AVE.
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-733-5540
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2006